TCC Circulation

Question 1

BSI

Answer 1

for my buddy and i

Question 2

2. Determine if pelvic binder needed

Answer 2

a. Blunt force, blast or:

i. Pelvic pain, limb amputation, PE suggests pelvic fx, shock

Question 3

3. Reassess prior tourniquet

Answer 3

a. Expose wound and determine if T is needed

Question 4

4. Convert hasty T’s to deliberate PRN

Answer 4

a. Place T over skin 2-3” above wound
b. Slowly loosen hasty T and look for bleed
c. Check distal pulse (if limb is there)
d. If bleeding persists or distal pulse is present Tighten T or add side by side T’s
e. Mark all T’s with time

Question 5

5. Convert T to pressure dressing if

Answer 5

if all 3:

a. Not in shock, possible to monitor bleeds, not amputated

Question 6

6. Assess for hemorrhagic shock

Answer 6

a. Assess for AMS

b. Assess for weak/absent radial pulses

Question 7

7. Get IV access

Answer 7

a. Gather, inspect and prep all equipment
b. Apply constricting band
c. Cleanse site with ETOH and uncap needle
d. Hold skin taut w non-dominant hand
e. Hold needle at 20-30 degree angle
f. Pierce skin and advance needle until flash
g. Decrease angle to 10-15 degrees and advance 1/8th of an inch
h. Hub catheter
i. Release constricting band w/ non-dominant hand
j. Occlude vein w non-dominant hand
k. Remove needle and SHAPRS
l. Apply saline lock, clean lock, aspirate and flush w/ min 5mL of iv solution
m. Cover w dressing

Question 8

8. Administer TXA

Answer 8

via SLOW IV push asap no >3hrs